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Labiaplasty - Should I Wait Until I'm Done Having Kids to Get the Procedure?
You raise many issues - The first is the concept of "VBAC" or vaginal birth after C-section. While the debate has gone back and forth most obstetricians and nurse midwives would agree that patients who have delivered by c-section previously are much more likely to have a C-section again. The reason this should be a consideration in your planning is that you correctly surmise that some distortion, change in shape or trauma to the labia can happen during childbirth. However, it is important to recognize that over 75% of women getting a labiaplasty have it before they are done having children. The decision is yours and your doctor's - you need to assess your concerns and the benefit you may have by pursuing the procedure now vs. the risk that you may need additional surgery after additional children (most practitioners would ascribe a small risk to that possibility.)
Clinical Context
Labiaplasty incisions typically heal within a few weeks, though it can take longer for the tissue to fully settle into its final shape. Childbirth can separately change the shape or feel of the labia, regardless of whether surgery was done before. Because of this, some women prefer to complete childbearing first to avoid the chance of needing a second procedure, while others choose to address their concerns sooner. Discussing your family planning timeline with your surgeon can help you weigh these considerations.
